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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPBYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAME <br /> <br />~MA1er ~t.t. <br /> <br />OWNER'S ADDRESS <br /> <br />). 5""'0 r <br />5045 <br /> <br />PHONE fty'f- 3 </-76 <br />Dy/tI~ L4T2- / FcondA 5354-'7 <br />. <br /> <br />S\..lMMe.r ~-L'-L JJ rI \Ie 2 ep "-11' h, (/5 I PLdr(J It 33~q) <br />/1 BLOCK SUBDIVISION:S;; MM.e r II'L <.. <br /> <br />8uI !rk<J <br />1{ u 5 TI c.. CJ A- 1::--5 <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PARCEL 1.D.# :s'ee-.nOJJ 1"L TvVf 2.10 ~.7l't R<vV~ 2-(~"- P6 3 ( .pq,oe ~'1 <br />WORK PROPOSED:~New Construction ____Addition ____Alteration ____Repair ____Install <br /> <br />_Sign <br /> <br />PROPOSED USE: ~ Fam~ <br />____Co-ercial <br /> <br />Move <br /> <br />Demolish <br /> <br />____M/F ____' of Units <br />____Indust. ____Swim. Pool <br /> <br />____M/H <br /> <br />Other <br /> <br />".<11 <br /> <br />','BUILDING SIZE: <br /> <br />____Restaurant & Health Department Approval <br />10'X 5~: <br /> <br />~//O <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />I <br />t COMMERCIAL : <br /> <br />/ 57#K.V <br />/ <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ** <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />~UILDING <br />./ELECTRICAL <br />~ECHANICAL <br /> <br />$ <br /> <br />PERMITS REQUESTED <br />6'- 800 . - Valuation of Total Construction <br />. <br /> <br />Joo AMP Service VFlorida Power Corp. _W.R.E.C. <br />elJ 00, d Valuation of Mechanical Installation <br /> <br />$ <br /> <br />GAS <br /> <br />4y~-r ROOFING <br />____Frame ____Steel <br /> <br />SPECIALTY <br /> <br />:/ PLUMBING <br /> <br />TYPE OF CONSTRUCTION: V"'Slock <br /> <br />Other <br /> <br />IS PROJECT IN FLOOD ZONE AREA? ~ <br />YES NO <br /> <br />FINISHED FLOOR ELEVATIONS: 101 FT. <br /> <br />****************************************** <br /> <br />BUILDER <br /> <br />CONTRACTOR SECTION <br /> <br />~ COMPANY ~AC~ T I1I1-Yl'"/s ]i.. <br />. State Cert. or . eqist. . ~CO/f>9/7 <br />City License Registration 4-0) CG co/697 <br />****************************************** <br /> <br /> <br />Signature <br /> <br />COMPANY :5HEflp.4l<.D ELec..TrlC <br />State Cert. or Regist. # E fUJooo _~I ('""' <br />City License Registration # ~~~ <br />****************************************** <br /> <br />PLUMBER . COMPANY IIAem[)/'I f TIfAt:J:.er IZk1Y16/NtY <br />.4!J. ' ~, State Cert. or Regist. . k'F 9:fA 3 (.. 4 (I <br />Signature . '/i~ ~ City License Registration # 41) -:s- <br />J ****************************************** <br /> <br />Signature <br /> <br /> <br />COMPANY 5lfepp~ ~Le.c-rr/G <br />State Cert. or Regist. # CC!1L1C!..n 4\ Of (., <br />City License Registration # I II <br />****************************************** <br /> <br />COMPANY /tvJfle.-r 1M-- RtJO/;.N~ <br />/2 ~_, P -+- State Cert. or Regist. , ec....<.. o'l.'l5''f? <br />r ~ \-{. ~ City License Registration # i.+7 (<.....<. o'a ""5"7 <br />****************************************** <br /> <br />MECHANICAL <br /> <br />OTHER <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY Jla/l1~ ::xfI M"",^>- <br /> <br />PERMIT OFFICER. <br />